Repatriation/Articles

Repatriation from Madeira

Repatriation from Madeira requires a careful assessment of medical condition, distance, discharge from hospital, mode of transport, travel time and arrival care.

Repatriation from Madeira

Madeira is located in the Atlantic Ocean and first requires a flight or sea connection from the island.

Local circumstances

Funchal and other island locations have mountainous roads and varying travel times to the airport.

Transport decision

A stable patient may be able to fly with an escort; PRM assistance does not replace a clinical escort.

Route and supervision

For a medical flight, the local ambulance, aircraft and European onward transfer are coordinated directly.

Arrival and handover

After landing, suitable transport continues to the Belgian care address.

Additional point of attention

Medication, oxygen and batteries include reserves for a long island journey and delays.

Information required

Identification, a medical summary, current medication and exact addresses remain with the care team. If the condition changes, the route is reassessed.

Mountain roads and island transfer

A patient outside Funchal may first require a winding or steep road transfer. The team checks pain, nausea, fixation and oxygen before departure towards the airport. Weather and operational flight options are reviewed again shortly before the journey. In the event of a delay, it remains clear where the patient can stay safely and who is responsible for medication. Baggage and hotel arrangements are not linked to the medical pick-up time.

From Atlantic island to Belgian hospital bed

After the island flight, a connection or further ambulance phase may follow. Each transfer has a designated person responsible. Supplies and batteries continue until the next system is demonstrably functioning; the journey is not complete upon the first landing on the European mainland.

Frequently asked questions

Often yes, but the form of transport depends on medical stability, distance, documents, route and available guidance. Sometimes a patient can travel with a medical escort on a scheduled flight, while in other cases stretcher transport, ambulance or an air ambulance is required.

Usually diagnosis, medical report, medication, mobility, oxygen requirements, infection status, pain level and destination are needed. Airline medical clearance and fit-to-fly information can also be important during a flight.

Sometimes yes. This depends on the chosen form of transport, medical occupancy, airline rules, available places and the condition of the patient. If family cannot travel, communication can be clearly coordinated along the way.

Air ambulance is mainly considered in case of instability, ventilation, intensive monitoring, high oxygen shortage or when a commercial flight is not medically justified. In stable patients, it is first examined whether a less intensive solution is safe.

This could be at home, but also a hospital, rehabilitation center, residential care institution or other care location. The destination is coordinated in advance so that the transfer takes place safely upon arrival.

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